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Home    Αξιολόγηση του κόστους και της αποτελεσματικότητας των προληπτικών μέτρων των ελληνικών τελωνειακών αρχών έναντι της νόσου των πτηνών (H5N1) και της νέας γρίπης (H1N1)  

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Identifier 000379258
Title Αξιολόγηση του κόστους και της αποτελεσματικότητας των προληπτικών μέτρων των ελληνικών τελωνειακών αρχών έναντι της νόσου των πτηνών (H5N1) και της νέας γρίπης (H1N1)
Alternative Title Cost-effectiveness evaluation of the prevention measures amobg the hellenic customs authorities against the avian inluenza (H5N1) and the influenza (H1N1)
Author Μαμμά, Μαρία Ν
Thesis advisor Σπαντίδος, Δημήτριος
Reviewer Λελεδάκης, Γεώργιος
Σουρβίνος, Γεώργιος
Ζαφειρόπουλος, Αλέξανδρος
Τσατσάνης, Χρήστος
Λιονής, Χρήστος
Φιλαλήθης, Αναστάσιος
Abstract Immunization guidelines from many countries recommend influenza vaccination of “high-priority” populations, including customs officers. Our aim was to estimate the economic impact of the vaccination program against influenza among customs officers in relation to their participation into the program. We developed a decision analytical computational simulation model including dynamic transmission elements that estimated the economic impact of various scenarios with different attack rates, symptomatic percentages and vaccination participation among customs officers. Using a self-administered questionnaire, we also assessed in real-time the economic impact of the national 2009/2010 campaign against seasonal and pandemic A/H1N1 influenza. Implementing seasonal and pandemic A/H1N1 influenza vaccination program among customs officers in Greece is relatively inexpensive (<36 Euros/vaccinated customs officer) and cost saving in all studied influenza scenarios when customs officer’s participation rate reached 100%. When participation rate dropped to 50%, influenza vaccination was never cost saving in all influenza scenarios with symptomatic percent of 50%. Due to the national 2009/2010 campaign, the participation rate into the vaccination program against seasonal influenza increased from 1.9 to 7.2%. However it remained far below the lowest net benefit limit calculated by our mathematic model. Vaccination participation rate represents an essential cost-benefit target for the economic effectiveness of the program against seasonal and A/H1N1 influenza. A more-structured approach is required to increase vaccination coverage against influenza among vulnerable working groups such as customs officers.
Language Greek, English
Subject Avian influenza (H5N1)
Cost
Cost-Benefit Analysis
Customs officers
Economic evaluation
Effectiveness
Greece
Immunization Programs economics
Influenza Vaccines
Pandemic influenza (H1N1)
Vaccination program
Αποτελεσματικότητα
Ελλάδα
Εμβόλια γρίπης
Κόστος
Κόστους οφέλους ανάλυση
Νέα γρίπη (Η1Ν1)
Νόσος πτηνών (Η5Ν1)
Οικονομική αξιολόγηση
Πρόγραμμα εμβολιασμού
Τελωνειακοί υπάλληλοι
Issue date 2012-04-16
Collection   School/Department--School of Medicine--Department of Medicine--Doctoral theses
  Type of Work--Doctoral theses
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